Active NPI
Alexander Steven Gilmore, D.C.
- Nutrition Chiropractor
- Cedaredge, CO
National Provider Identifier
1902011489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 5432
- Practice address
- 105 SE Greenwood Ave
Cedaredge, CO 81413-4003 - Phone
- (970) 856-3545
- Fax
- (970) 434-8501
- NPI assigned
- May 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 5432 | CO | Primary |
Addresses
Primary practice location
105 SE Greenwood Ave
Cedaredge, CO 81413-4003
Mailing address
105 SE Greenwood Ave
Cedaredge, CO 81413-4003
Phone (970) 856-3545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
105 SE Greenwood Ave
Cedaredge, CO 81413-4003
Phone (970) 856-3545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Family Wellness Inc. | Nutrition | Current | Accepting new patients |
Locations
105 SE Greenwood Ave
Cedaredge, CO 81413
Phone (970) 856-3545
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Nutrition Chiropractor
- Cedaredge, CO
- NPI 1144490376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902011489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SE GREENWOOD AVE",
"city": "CEDAREDGE",
"state": "CO",
"postal_code": "814134003",
"telephone_number": "970-856-3545",
"fax_number": "970-434-8501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SE GREENWOOD AVE",
"city": "CEDAREDGE",
"state": "CO",
"postal_code": "814134003",
"telephone_number": "970-856-3545",
"fax_number": "970-434-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "ALEXANDER",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CO",
"license": "5432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedaredge, CO
- Deborah Bhasker PC
- Delta County Memorial Hospital (Delta Health Cedaredge Family Medicine)
- Eric Dyer
- Essential Embodiment LLC
- Nicole Gessell, RN
- Stephanie Hanson, M.A. CCC-SLP
- Christin Dawn Hawbaker, L.AC.
- Timothy Parker Hawbaker, N.P., L.AC.
- Magdalena Evelyn Hunsaker, LMT
- Christian T Johnson, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.